Streaming Viewing Summary Request Form
Request a summary of your streaming platform viewing activity by completing this form.
Full Name
*
First Name
Last Name
Email Address (associated with your streaming account)
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Select Streaming Service
*
Please Select
Netflix
Amazon Prime Video
Disney+
Hulu
Apple TV+
HBO Max
Other
Account Username or ID (if applicable)
What time period do you want your viewing summary to cover?
*
Rows
Start Date
End Date
Viewing Summary Period
Reason for Request
*
Personal record keeping
Parental monitoring
Account review
Other
Preferred Delivery Method
*
Email
Download link
Other
Would you like to receive a detailed breakdown (titles, dates, durations) or just a summary?
*
Detailed breakdown
Summary only
Additional Comments or Special Instructions
Please confirm that you are the account holder or have authorization to request this information.
*
Yes, I confirm I am authorized.
Captcha: Please verify you are not a robot.
*
Submit Request
Should be Empty: